Should Lancaster County develop its own health department? Those in favor believe a county health department could better meet the needs of residents. Others express concerns over the potential cost. Author: Grace Griffaton (FOX43) Updated: 6:05 PM EDT April 7, 2021 LANCASTER COUNTY, Pa. — Should Lancaster County create its own health department? "This is a thing that spending a little money now is going to save us money for generations," Ismail Smith-Wade-El, Lancaster City Council President, told FOX43. The municipal push for the creation of a Lancaster County health department started in Manheim Township, where local leaders passed a resolution in favor last month.